Addis Ababa Medical College – Hargeisa Branch

Monthly Archives: May 2014

If you don’t use your wisdom to create positive change, you’re still part of the problem rather than the solution introduction companies operate, operating in dynamic, very competitive scenarios where change manifests itself constantly and APRA must be prepared them, counting with a management that this integrated with your human resource from t to the form given the actions required to deal with the changes smoothlyor arising from disharmony in the organizational environment required to achieve the planned objectives. Faced with this reality, especially that of the Venezuelan case where its scenario is turbulent, which has generated uncertainty, risk, fear until the same operability of companies and investments, the topic cannot be neglecting to deal with it. CONSIDERACIONESL, background, scope, importance is known, that the change management is as old as the existence of the companies. From the moment in which appeared innovations within organizations, the entrepreneurial spirit of the human being there saw huge possibilities to facilitate the trade technological, commercial, reduce costs: and at the same time be able to go automating many processes, implementing new policies, that could be: purchase, delivery and payment, etc. Certainly, there are many factors that are manifested in the environment which gives step to changes, such as own policies of the State, their programs, economy, the intervention of foreign companies and their participation in the market, technology.

In fact, technology, is the radical change both the gradual motor. It is precisely where emerge, the big questions and difficulties, such as: which technology to use?, how to manage the change in systems, how to change people’s behavior. It is definitely valid to consider when indicated, the efforts of change between the companies, may be found from the very beginning of its existence, since to start the same, every day go performing transformations commensurate with existing needs within the market competitive, and if not would be completely ineffective and failed businesses.

The thoughts or feelings unchained in the nurses, in the presence of the death of a patient, vary very between the different people, also vary very between different moments of one same person. They can be confused feelings painful, calm and placid, raging and rancorosos, rational and logical, and so on. At last, they are feelings of the most varied tonalities. This everything can mean that the death, in itself, can represent something total different between the different people, and total different at different times of the life of one same person. In a general way, deducting the defenses of the reflections zen, the transcendentais meditations and all luck of subterfuges of the fear and the fear of the nothing, the idea of the death sends in them to the loss feelings, therefore, in thesis, awaken the painful feelings. One is about a psychic species of pain, which many times also finishes generating physical pains, or creating an incompressible dynamics for who to the life it continues smiling. From what it was searched, the subject death is more present, either a fear of it, either to the will of that it accidentally happens or, more serious, under the form of suicidal ideao.

Of any form, it is thought about the death and, as it could not leave of being, it folloies painful feelings. This is a psychic pain, of course moved for feelings of sadness, finitude, fear, abandonment, fragility and unreliability. In the species human being the psychic pain ahead of the death can be considered physiological, but its duration, intensity and resolution go to depend, very probably, of as the person tried the life. During the phase of confrontation of the death, the nurse is stimulated the deep reflections on the proper life, if it its trajectory of life was satisfactory, if it had some emotional development, if it can create strong and permanent affective bonds, if it can assist to other human beings.

Has he wished on occasion have more money? Do you want to improve your life in some aspect? Have you ever felt with the desire to go to a mall and buy anything they want without having to look at the prices? Many people have not found with this type of thoughts in lagoon stage in our lives. And after having these thoughts most of people trying to do something to improve their situation: they work more, they seek to create their own business, they seek other work to generate more revenue, make cuts in some expenses, etc. The vast majority of people who do these things, return, unfortunately the same situation or even spend one worse: shortage of money, work hard and little pay, unemployment, debts, family problems, including up to impotence or frigidity. Who is this? Why for many people is so hard to takeoff from bankruptcy, unemployment, the pain, and rise up to heights of happiness, wealth and success? This is due to the prevailing mental patterns in people. No matter what hard people, to work if your predominant mental patterns are bankruptcy, shortages, his life never will be filled with richness. Success appears in people’s lives only when the mental patterns of failure, scarcity and unhappiness are replaced by patterns of success, wealth and happiness. Changing mental patterns is something quite difficult. Therefore, that the majority of people better not even try.

They believe that it is too much work and it is very difficult. The truth is that changing mental pattern is difficult at the beginning, but ease, wealth and success are worth it. It is best to use a year or two by changing mental patterns and live a lifetime of success and wealth, which avoided that initial job and spend a lifetime of hardship and pain. Let’s look at ways to change mental patterns.

For this reason of the corporal position to intervene with the hemodinmicas answers, our study searched to analyze and to compare these effect to have a more necessary lapsing of exercise. Due to importance of these four physiological parameters (FC, SHOVELS, PAD and DP) for the lapsing and control of the intensity of the exercises with weight, and in view of the great lack of studies that investigate these different corporal positions, the present study had as objective to verify and to analyze the hemodinmicas answers of the participants in the exercises crucifixo and peck-peck and leg-press 45 agachamento in the device, carrying through 10 repetitions 75% of the load of a maximum repetition (1RM). Objectives To verify if exists significant difference in the behavior of the double product and the sistlica and diastlica arterial pressure in the exercise of the exercises peck-deck, crucifixo, leg-press 45 and agachamento of the group of participant men. Metodolgicos procedures 31 adult individuals of the masculine sort had participated of the study being all residents in the city of Caruaru registered the academy school of the ASCES. All the voluntary participants possuam minimum experience of six months in the exercises with weight and already they practised the exercises that had been used for the accomplishment of the tests. Without it has any physical deficiency, mental, auditory and visual. Standing out that at the moment of the choice of the citizens for the composition of the sample all met enjoying of a perfect one health state. All the voluntary citizens had been submitted to questionnaire PAR-Q and had signed an assent term, as Resolution in the 196/96 of the National Advice of Health of Brazil. This study it was approved by the Committee of Ethics in Research for Human beings of the Association Superior Caruaruense de Ensino (N letter 015/10 CEP/ASCES) and all the participants had been informed on the procedures and inherent risks to the tests before signing the assent term.

why you now sell their knowledge as an eBook should Internet business models, why the sales of eBooks is the Supreme discipline Schwielowsee, March 3, 2010 the economic crisis not makes it easy to most Germans work to change. Better keep silent and doing work the applied work. On the other hand, there are people who have lost your job or are looking for a second source of income and therefore reorient. Earn money on the Internet is a popular option that is envisaged. The approaches are varied and far from offering the own services through electronic job portals to sell physical items via auction platforms & online shops to the distribution of digital information products.

The digital information products like eBooks a special position here: In comparison with other online business models, these have the advantage that they once produced and x-fold can be sold. Without extra effort, Nota Bene! In contrast to all the other models are available which physical goods or the own creativity, time, focus on talk have. My own eBook what to consider also applies on the Internet is the money not on the information superhighway, and only who offers an effective added value, will also succeed. You are the expert in your area of expertise, but if you hang in, the success will arise. The potential is indeed enormous! Only around 2.5% of all Germans have ever ever bought an eBook, but already one in three has heard of it.

Note the following points when you want to get an eBook on the market: choose a topic that interests you personally, and you can identify with the. It is much easier if you have fun on the what you are selling. With heart and soul who can vouch for his product, creates trust. Test the market! Make sure, that there are enough potential buyers who pay for your eBook.